Individual
JACLYN ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
49 FALLON AVE, SEAFORD, DE 19973-1577
(302) 629-5030
(302) 629-5035
Mailing address
49 FALLON AVE, SEAFORD, DE 19973-1577
(302) 629-5030
(302) 629-5035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0000891
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0000891
DE
Other
Enumeration date
11/25/2015
Last updated
08/12/2016
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